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General NPI Number Information
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NPI Number | 1588856462
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Entity Type | Individual
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Provider Name | MR. KUNJAL S. JOSHI
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 1466 LINCOLN AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2021
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Country | US
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Telephone | 415-457-3755
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Fax | 415-457-0849
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Provider Business Mailing Address
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Address Line | 3450 3RD ST STE 1C
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-1444
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Country | US
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Telephone | 415-437-3990
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Fax | 415-437-3994
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF73731
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License Number State | CA
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